WO2003092805A3 - Method and apparatus for detecting oscillations in cardiac rhythm - Google Patents

Method and apparatus for detecting oscillations in cardiac rhythm Download PDF

Info

Publication number
WO2003092805A3
WO2003092805A3 PCT/US2003/014031 US0314031W WO03092805A3 WO 2003092805 A3 WO2003092805 A3 WO 2003092805A3 US 0314031 W US0314031 W US 0314031W WO 03092805 A3 WO03092805 A3 WO 03092805A3
Authority
WO
WIPO (PCT)
Prior art keywords
cardiac rhythm
detecting oscillations
oscillations
detecting
compensate
Prior art date
Application number
PCT/US2003/014031
Other languages
French (fr)
Other versions
WO2003092805A2 (en
Inventor
Joseph M Pastore
William C Lincoln
Gerrard M Carlson
Qingsheng Zhu
Jiang Ding
Rodney W Salo
Quan Ni
Original Assignee
Cardiac Pacemakers Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/138,046 external-priority patent/US7113825B2/en
Priority claimed from US10/172,825 external-priority patent/US7039462B2/en
Application filed by Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Priority to AU2003232060A priority Critical patent/AU2003232060A1/en
Priority to DE60329327T priority patent/DE60329327D1/en
Priority to EP03747670A priority patent/EP1583584B1/en
Priority to AT03747670T priority patent/ATE442884T1/en
Publication of WO2003092805A2 publication Critical patent/WO2003092805A2/en
Publication of WO2003092805A3 publication Critical patent/WO2003092805A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measurement Of Mechanical Vibrations Or Ultrasonic Waves (AREA)

Abstract

A cardiac rhythm management device is configured to detect mechanical oscillations in cardiac rhythm. Upon detection of such oscillations, the device may adjust its operating behavior to compensate for the deleterious effects of the condition.
PCT/US2003/014031 2002-05-03 2003-05-02 Method and apparatus for detecting oscillations in cardiac rhythm WO2003092805A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2003232060A AU2003232060A1 (en) 2002-05-03 2003-05-02 Method and apparatus for detecting oscillations in cardiac rhythm
DE60329327T DE60329327D1 (en) 2002-05-03 2003-05-02 METHOD AND DEVICE FOR DETECTING OSCILLATIONS IN THE HEART RYTHM
EP03747670A EP1583584B1 (en) 2002-05-03 2003-05-02 Method and apparatus for detecting oscillations in cardiac rhythm
AT03747670T ATE442884T1 (en) 2002-05-03 2003-05-02 METHOD AND DEVICE FOR DETECTING OSCILLATIONS IN THE HEART RHYTHM

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/138,046 2002-05-03
US10/138,046 US7113825B2 (en) 2002-05-03 2002-05-03 Method and apparatus for detecting acoustic oscillations in cardiac rhythm
US10/172,825 2002-06-14
US10/172,825 US7039462B2 (en) 2002-06-14 2002-06-14 Method and apparatus for detecting oscillations in cardiac rhythm

Publications (2)

Publication Number Publication Date
WO2003092805A2 WO2003092805A2 (en) 2003-11-13
WO2003092805A3 true WO2003092805A3 (en) 2006-03-09

Family

ID=29406255

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/014031 WO2003092805A2 (en) 2002-05-03 2003-05-02 Method and apparatus for detecting oscillations in cardiac rhythm

Country Status (5)

Country Link
EP (1) EP1583584B1 (en)
AT (1) ATE442884T1 (en)
AU (1) AU2003232060A1 (en)
DE (1) DE60329327D1 (en)
WO (1) WO2003092805A2 (en)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5824029A (en) * 1994-04-28 1998-10-20 Medtronic, Inc. Implantable medical system for performing transthoracic impedance measurements associated with cardiac function
US6035233A (en) * 1995-12-11 2000-03-07 Intermedics Inc. Implantable medical device responsive to heart rate variability analysis
WO2001056651A1 (en) * 2000-02-02 2001-08-09 Cardiac Pacemakers, Inc. Accelerometer-based heart sound detection for autocapture
US20030187482A1 (en) * 2002-03-26 2003-10-02 Pastore Joseph M. Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5190035A (en) 1981-06-18 1993-03-02 Cardiac Pacemakers, Inc. Biomedical method and apparatus for controlling the administration of therapy to a patient in response to changes in physiological demand
US6076015A (en) 1998-02-27 2000-06-13 Cardiac Pacemakers, Inc. Rate adaptive cardiac rhythm management device using transthoracic impedance

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5824029A (en) * 1994-04-28 1998-10-20 Medtronic, Inc. Implantable medical system for performing transthoracic impedance measurements associated with cardiac function
US6035233A (en) * 1995-12-11 2000-03-07 Intermedics Inc. Implantable medical device responsive to heart rate variability analysis
WO2001056651A1 (en) * 2000-02-02 2001-08-09 Cardiac Pacemakers, Inc. Accelerometer-based heart sound detection for autocapture
US20030187482A1 (en) * 2002-03-26 2003-10-02 Pastore Joseph M. Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals

Also Published As

Publication number Publication date
EP1583584A2 (en) 2005-10-12
WO2003092805A2 (en) 2003-11-13
DE60329327D1 (en) 2009-10-29
ATE442884T1 (en) 2009-10-15
AU2003232060A1 (en) 2003-11-17
AU2003232060A8 (en) 2003-11-17
EP1583584B1 (en) 2009-09-16

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